Kaiser - KP Gold III $30 - Fit

Hawaii, 2019

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $1,000

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $1,000
Deductible (Family) $2,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $250 Copay per day after deductible
Inpatient Physician No charge
Emergency Room Services $250 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $250 Copay after deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient $250 Copay per day after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Hawaii

Plan KP Bronze II 30% - Fit Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,550
Plan KP Silver III $40 - Fit Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Silver II $35 - Fit Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Gold I $30 - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Bronze I $60 - Fit Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Silver II $35 - ChiroAcuMassage - Fit Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Bronze I $60 - ChiroAcuMassage - Fit Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Gold I $30 - ChiroAcuMassage - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Platinum $10 - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan KP Platinum $10 - ChiroAcuMassage - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $1,000
Deductible (Family) $2,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $250 Copay per day after deductible
Inpatient Physician No charge
Emergency Room Services $250 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $250 Copay after deductible
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Available
Weight Loss Available

Other

Mental / Behavioral Health Inpatient $250 Copay per day after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Hawaii

Plan KP Bronze II 30% - Fit Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,550
Plan KP Silver III $40 - Fit Deductible $4,000 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Silver II $35 - Fit Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Gold I $30 - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Bronze I $60 - Fit Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Silver II $35 - ChiroAcuMassage - Fit Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Bronze I $60 - ChiroAcuMassage - Fit Deductible $6,500 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Gold I $30 - ChiroAcuMassage - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $7,350
Plan KP Platinum $10 - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan KP Platinum $10 - ChiroAcuMassage - Fit Deductible $0 Coinsurance Not applicable Out of Pocket $5,000